Individual provider · Type 1 NPI
Kelsey Krueger Cannan, LMHC
Mental Health Counselor · Fairport, NY
NPI number
1942794151
Active
Practice location
21 Gentian Way
Fairport, NY 14450-9210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 39004517A (IN) |
| Mental Health Counselor Primary | 101YM0800X | 010756 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1942794151
Kelsey Krueger Cannan, LMHC's National Provider Identifier is 1942794151, issued on Jun 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairport, NY. The record was last updated on Jun 29, 2023.